Provider Demographics
NPI:1699813915
Name:HULTS, DEBORAH D (ARNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:D
Last Name:HULTS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3258 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2822
Mailing Address - Country:US
Mailing Address - Phone:850-562-2010
Mailing Address - Fax:850-562-4460
Practice Address - Street 1:3258 N MONROE ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2822
Practice Address - Country:US
Practice Address - Phone:850-562-2010
Practice Address - Fax:850-562-4460
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1912632363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner